DR. DDS Gordon Keith Green, NPI 1265450464
General Practice Dentistry in Lyons, IN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1265450464 |
| NPI Entity Type | Individual |
| Provider Name | DR. DDS Gordon Keith Green |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 147 E Broad St, Lyons, IN, US |
| Provider Mailing Address | P O Box 501, 147 East Broad St, Lyons, IN, US, 474439502 |
| Is Sole Proprietor? | Yes |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Practice Dentistry |
| Classification | |
| Group | |
| License No. | 7342 |
| License State | IN |
| Description | A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 100124690A | IN | MEDICAID | 05 |
| 457474 | IN | UNITED CONCORDIA | 01 |
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